Double peroneal free flap for multiple skin defects of the hand

Two or more relatively large skin defects of the hand and fingers were repaired in six cases by a double peroneal free flap with a flap attached to each of two cutaneous branches ramifying from a peroneal artery and vein. All the cases were either multidigital injuries or had injury to adjacent fingers, with skin defects ranging from 4 x 1.5 cm to 11 x 5 cm. The subcutaneous fat of the flap is thin with good elasticity, giving a good match for the finger. This procedure can be employed for two or more skin defects at any site in the finger and hand in one stage, with the added advantage of early rehabilitation.